Remote Medicare Claims Specialist

CorroHealth Inc; Illinois; Hybrid; USD 45,000 - 65,000; Full time

Job summary

CorroHealth Inc. is seeking Medical Reimbursement Specialists to collaborate with insurance carriers and patients to resolve outstanding balances through research, follow ups, and appeals. This is a REMOTE POSITION and applicants must reside in the United States.

Key duties include editing Medicare claims, following up on billed claims, and maintaining knowledge of Medicare guidelines. The role requires familiarity with CPT/ICD-10 coding and insurance billing processes, with opportunities to

Qualifications

• Two years experience resolving medical Medicare claims.
• Knowledge of Medicare/Medicaid payors.
• Familiarity with CPT and ICD-10 coding.
• Knowledge of insurance billing and medical terminology.
• Familiarity with electronic and paper systems used in billing healthcare services.
• Ability to research unpaid or underpaid claims for resolution.

Responsibilities

• Edit and perform maintenance on Medicare claims.
• Follow-up on billed claims in a timely and effective manner.
• Maintain knowledge of current Medicare regulations and guidelines.
• Monitor patient accounts for accurate payment.
• Pursue account reimbursement through compliant action.
• Edit rejected claims in DDE which are identified on RTP report.
• Review patient bills for accuracy and completeness and obtaining any missing information.
• Utilization and adherence to Medicare guidelines.
• Other duties as assigned.

Skills

Medicare claims experience

Medicare/Medicaid payors

CPT and ICD-10 coding

Insurance billing knowledge

Medical terminology

Research unpaid/underpaid claims

Education

High School Diploma or GED

Job description

CorroHealth Inc. is seeking Medical Reimbursement Specialists to collaborate with insurance carriers and patients to resolve outstanding balances through research, follow ups, and appeals. This is a REMOTE POSITION and applicants must reside in the United States.

Key duties include editing Medicare claims, following up on billed claims, and maintaining knowledge of Medicare guidelines. The role requires familiarity with CPT/ICD-10 coding and insurance billing processes, with opportunities to